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NCC EFM Certification 2025: 3 Newest Versions (A, B, C) & Version A Guide

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Prepare for the NCC Electronic Fetal Monitoring Certification (EFM) 2025 exam. This guide covers the 3 newest test versions (A, B, C) with a detailed focus on Version A content, structure, and key topics. Get insights on Antepartum and Intrapartum fetal surveillance, strip interpretation, and study strategies to pass your NCC EFM board certification.

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November 2, 2025
Number of pages
181
Written in
2025/2026
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Page 1 of 181


NCC ELECTRONIC FETAL MONITORING CERTIFICATION

3 NEWEST VERSIONS 2025 VERSION A, B AND C

COMPLETE 400 QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED

A+

Which of the following factors can have a negative effect on

uterine blood flow?

a. Hypertension

b. Epidural

c. Hemorrhage

d. Diabetes

e. All of the above

.....ANSWER.....e. All of the above

,Page 2 of 181


How does the fetus compensate for decreased maternal

circulating volume?

a. Increases cardiac output by increasing stroke volume.

b. Increases cardiac output by increasing it's heart rate.

c. Increases cardiac output by increasing fetal movement.

.....ANSWER.....b. Increases cardiac output by increasing it's heart

rate.

Stimulating the vagus nerve typically produces:

a. A decrease in the heart rate

b. An increase in the heart rate

c. An increase in stroke volume

d. No change .....ANSWER.....a. A decrease in the heart rate

What initially causes a chemoreceptor response?

a. Epidurals

,Page 3 of 181


b. Supine maternal position

c. Increased CO2 levels

d. Decreased O2 levels

e. A & C

f. A & B

g. C & D

.....ANSWER.....g. C & D

The vagus nerve begins maturation 26 to 28 weeks. Its

dominance results in what effect to the FHR baseline?

a. Increases baseline

b. Decreases baseline

.....ANSWER.....b. Decreases baseline

T/F: Oxygen exchange in the placenta takes place in the

intervillous space. .....ANSWER.....True

, Page 4 of 181


T/F: The parasympathetic nervous system is a cardioaccelerator.

.....ANSWER.....False

T/F: Baroreceptors are stretch receptors which respond to

increases or decreases in blood pressure. .....ANSWER.....True

T/F: There are two electronic fetal monitoring methods of

obtaining the fetal heart rate: the ultrasound transducer and the

fetal spiral electrode. .....ANSWER.....True

T/F: Variability can be determined with the fetoscope.

.....ANSWER.....False

T/F: Because the ultrasound transducer and toco transducer are

sealed units, they can be dipped in warm water to make

cleaning easier. .....ANSWER.....False

T/F: The most common artifact with the ultrasound transducer

system for fetal heart rate is increased variability.

.....ANSWER.....True
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